Justification for Generic Collection

2434.97 Justification.docx

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery (Renewal)

Justification for Generic Collection

OMB: 2010-0042

Document [docx]
Download: docx | pdf

OMB Control Number 2010-0042

Approval Expires March 31, 2021



Request for Approval under the “Generic Clearance for the Collection of Routine Customer Feedback” (OMB Control Number: 2010-0042)

Shape1 TITLE OF INFORMATION COLLECTION:

Customer Satisfaction Survey for the America Recycles Events


PURPOSE:

The Office of Resource Conservation and Recovery (ORCR) is requesting approval to conduct a Customer Satisfaction Survey as follow up to those who attended the America Recycles Summit and Innovation Fair as well as to those who joined the America Recycles Network but who did not attend the annual events. ORCR would like to collect this data from participants so that it can be used to determine ways the Summit program and Innovation Fair exhibitor and participant experience and booths can be improved in future years. Additionally, ORCR hopes to learn how the America Recycles Network members would like to engage with EPA on improving our recycling system. ORCR is seeking a one-year clearance for this survey.


DESCRIPTION OF RESPONDENTS:

The members of the America Recycles Network, as well as those who attended the Summit and Innovation Fair will receive the survey. Respondents will be a mix of private citizens; local, state, tribal, and federal government representatives; non-governmental organization representatives; and industry representatives.


TYPE OF COLLECTION: (Check one)


[ ] Customer Comment Card/Complaint Form [x] Customer Satisfaction Survey

[ ] Usability Testing (e.g., Website or Software) [ ] Small Discussion Group

[ ] Focus Group [ ] Other: ______________________


CERTIFICATION:


I certify the following to be true:

  1. The collection is voluntary.

  2. The collection is low-burden for respondents and low-cost for the Federal Government.

  3. The collection is non-controversial and does not raise issues of concern to other federal agencies.

  4. The results are not intended to be disseminated to the public.

  5. Information gathered will not be used for the purpose of substantially informing influential policy decisions.

  6. The collection is targeted to the solicitation of opinions from respondents who have experience with the program or may have experience with the program in the future.


Name:

Primary Contact: Mya Sjogren – [email protected], 703-347-8168

Secondary Contact: Brandon Bray – [email protected], 703-308-7253


To assist review, please provide answers to the following question:


Personally Identifiable Information:

  1. Is personally identifiable information (PII) collected? [x] Yes [ ] No

  2. If Yes, is the information that will be collected included in records that are subject to the Privacy Act of 1974? [ ] Yes [x] No

  3. If Applicable, has a System or Records Notice been published? [ ] Yes [x] No


Gifts or Payments:

Is an incentive (e.g., money or reimbursement of expenses, token of appreciation) provided to participants? [ ] Yes [x] No


BURDEN HOURS


Category of Respondent

No. of Respondents

Participation Time

Burden

Event Attendees (Industry, NGO, state and local government, private)

~300 recipients x 30% response rate = ~90 respondents

10 minutes per response

900 minutes

America Recycles Network Members

~250 recipients x 50% response rate = ~125 respondents

10 minutes per response

1250 minutes

Totals

~215 respondents


~35.83 hours



FEDERAL COST: The estimated annual cost to the Federal government is: 25 hrs x $85 technical hourly rate =$2,125.

If you are conducting a focus group, survey, or plan to employ statistical methods, please provide answers to the following questions:


The selection of your targeted respondents

  1. Do you have a customer list or something similar that defines the universe of potential respondents and do you have a sampling plan for selecting from this universe? [ ] Yes [x] No


If the answer is yes, please provide a description of both below (or attach the sampling plan)? If the answer is no, please provide a description of how you plan to identify your potential group of respondents and how you will select them?


All of those who opted to join the America Recycles Network as well as those who exhibited or attended the America Recycles: Innovation Fair and America Recycles Summit in 2019 will receive the survey. The America Recycles Network comprises individuals and organizations who voluntary commit to advance recycling in their practices. The list reflects around 275 names.


Administration of the Instrument

  1. How will you collect the information? (Check all that apply)

[ x] Web-based or other forms of Social Media

[ ] Telephone

[ ] In-person

[ ] Mail

[ ] Other, Explain

  1. Will interviewers or facilitators be used? [ ] Yes [ x] No

Please make sure that all instruments, instructions, and scripts are submitted with the request.





Instructions for completing Request for Approval under the “Generic Clearance for the Collection of Routine Customer Feedback”


Shape2

TITLE OF INFORMATION COLLECTION: Provide the name of the collection that is the subject of the request. (e.g. Comment card for soliciting feedback on xxxx)


PURPOSE: Provide a brief description of the purpose of this collection and how it will be used. If this is part of a larger study or effort, please include this in your explanation.


DESCRIPTION OF RESPONDENTS: Provide a brief description of the targeted group or groups for this collection of information. These groups must have experience with the program.


TYPE OF COLLECTION: Check one box. If you are requesting approval of other instruments under the generic, you must complete a form for each instrument.


CERTIFICATION: Please read the certification carefully. If you incorrectly certify, the collection will be returned as improperly submitted or it will be disapproved.


Personally Identifiable Information: Provide answers to the questions.


Gifts or Payments: If you answer yes to the question, please describe the incentive and provide a justification for the amount.


BURDEN HOURS:

Category of Respondents: Identify who you expect the respondents to be in terms of the following categories: (1) Individuals or Households;(2) Private Sector; (3) State, local, or tribal governments; or (4) Federal Government. Only one type of respondent can be selected.

No. of Respondents: Provide an estimate of the Number of respondents.

Participation Time: Provide an estimate of the amount of time required for a respondent to participate (e.g. fill out a survey or participate in a focus group)

Burden: Provide the Annual burden hours: Multiply the Number of responses and the participation time and divide by 60.


FEDERAL COST: Provide an estimate of the annual cost to the Federal government.


If you are conducting a focus group, survey, or plan to employ statistical methods, please provide answers to the following questions:


The selection of your targeted respondents. Please provide a description of how you plan to identify your potential group of respondents and how you will select them. If the answer is yes, to the first question, you may provide the sampling plan in an attachment.


Administration of the Instrument: Identify how the information will be collected. More than one box may be checked. Indicate whether there will be interviewers (e.g. for surveys) or facilitators (e.g., for focus groups) used.


Please make sure that all instruments, instructions, and scripts are submitted with the request.

6

File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
File TitleDOCUMENTATION FOR THE GENERIC CLEARANCE
Author558022
File Modified0000-00-00
File Created2021-01-14

© 2024 OMB.report | Privacy Policy